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Dr. Roy Creager Lusch, DDS
General Practice Dentistry in Portland, Oregon
NPI 1467519868

Roy Creager Lusch is a General Practice Dentistry based in Portland, OR and is specialized in General Practice. Roy Creager Lusch practices in Portland, OR and has the professional credentials of DDS. The NPI Number for Roy Creager Lusch is 1467519868 and holds a License No. 6360 (Oregon).

The current practice location address for Roy Creager Lusch is 948 Ne 102Nd Ave, Portland, OR and can be reached out via phone at 503-253-1109.

Location: 948 Ne 102Nd Ave, Portland, OR, 97216-3965
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Provider Profile Details
NPI Number
1467519868
Provider Name
Roy Creager Lusch
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
948 Ne 102Nd Ave, Portland, OR, 97216-3965
Phone Number
503-253-1109
Fax Number
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
930943902 01 OR TAX ID
institution
Provider Business Practice Location Address Details
Address
948 Ne 102Nd Ave
City
State
Zip
97220-4064
Phone Number
503-253-1109
Fax Number
person
Provider Business Mailing Address Details
Address
948 Ne 102Nd Ave
City
State
Zip
97220-4064
Phone Number
503-253-1109
Fax Number
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Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
6360 (Oregon)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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